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General NPI Number Information
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NPI Number | 1972986719
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Entity Type | Organization
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Legal Business Name | KHAN & MUJEEB URGENT CARE GROUP NO. 4 PLLC
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Dates
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Enumeration Date | 06/29/2015
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Last Update Date | 07/16/2015
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Provider Practice Location Address
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Address Line | 14405 FM 2100 RD SUITE B
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City | CROSBY
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State | TX
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Zip | 77532-6585
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Country | US
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Telephone | 832-877-2465
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Fax |
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Provider Business Mailing Address
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Address Line | 2416 W HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-1902
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Country | US
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Telephone | 832-877-2465
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAMRAN KHAN
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Credential | M.D
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Telephone | 936-641-0434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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